# GULF STATES LTAC OF DALLAS SOUTH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Gulf States LTAC of Desoto
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538345350
- **Authorized official:** MR. EUGENE E. SMITH (PRESIDENT AND COO)
- **Authorized official phone:** (225) 216-2299

## Contact information

- **Practice address:** 2700 WALKER WAY, DESOTO, TX 75115-2089
- **Practice address phone:** (225) 906-4006
- **Practice address fax:** (225) 906-4042
- **Mailing address:** 2700 WALKER WAY, DESOTO, TX 75115-2089
- **Mailing address phone:** (972) 298-1580
- **Mailing address fax:** (972) 298-1578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 008748 | TX | Yes |

## Other

- **Enumeration date:** 01/10/2008
- **Last updated:** 02/11/2009